QING FAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000508

License Status

CANCELLED

Business

Title

First Name

QING

Last Name

FAN

Business Name

QING FAN MD

Original Issue Date

12/23/2013

Effective Date

12/23/2013

Expiration Date

06/22/2014

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatric Surgery

Ever Disciplined

LastModifiedDate

03/13/2015